| Objective: To establish the animal model of stress urinary incontinence ( SUI)through imitating the birth trauma and the decrease of estrogen level combined with cutting off the pudendal nerves,then by identification and compared between models to offer reliable experiment object for research of SUI.Methods: Forty healthy female Wistar rats were randomly divided into four groups separated to 4 groups: Groupâ… was the control group, Groupâ…¡was the group of colpectasis and ovariectomy , Groupâ…¢was the group of bilateral PNT, Groupâ…£was Groupâ…¡+ Groupâ…¢,each group contained 10 rats. the urodynamics examinations of these 40 rats were carried out post-operation on Week 1,Week 4,Week 8. The sneeze test done to confirm the presence of SUI on week 1. And histological examinations were carried out on week 8.Results:â‘ The positively rats in sneeze test in groupâ…¡,â…¢,â…£were 6,9,10,respectively , but none of rats was positive in groupâ… .â‘¡The leakage of urine point pressure in groupâ…¢andâ…£were significantly lower than those in groupâ… andâ…¡(P<0.01),And in groupâ…¡was lower than in groupâ… (P<0.05); However,there was no significant difference between groupâ…¢and groupâ…£(P>0.05).â‘¢Histological examinations showed all layers of Urethra getting thinner, the structure is not obvious and atrophy of muscle layers as well as decreased innervation in groupâ…¢andâ…£than in groupâ… andâ…¡.the content ofα-actin in the muscle of pelvic floor in groupâ…£were significantly lower than that in groupâ… ,â…¡andâ…¢(P<0.01),And in groupâ…¢was lower than in groupâ… ,â…¡(P<0.05),there was no significant difference between groupâ… and groupâ…¡(P>0.05).Conclusion : Integrated colpectasis combined with bilateral oophorectomy and bilateral PNT can successfully set up SUI animal model and the model shows higher successful rate and satisfactory stability, simulates the occurrence of SUI in multiple factors exhaustively, has a characteristic of closer to the mechanism for human SUI. |